Individual
JAMIKA I LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44625 18TH ST W, LANCASTER, CA 93534-2709
(661) 675-7017
Mailing address
44625 18TH ST W, LANCASTER, CA 93534-2709
(661) 675-7017
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326469636
MEDI-CAL
CA
Enumeration date
01/04/2014
Last updated
11/14/2014
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